Billing and Collections Specialist
3 months ago
General Purpose:
Responsible for all aspects of patient/client billing and collections, including but not limited to performing the billing function, ensuring timely payment, collections and follow up. Ensures services rendered are paid for within ninety (90) days.
Recommends, provides input and may develop policies, processes and resources to evaluate and improve the billing and accounts receivable collection effectiveness and efficiency.
Essential Functions:
- Accountable for accounts receivable balance, inclusive of billing and collections.
- Performs billing functions.
- Utilizes system to bill patients and clients and monitor status of billed and unbilled accounts.
- Interacts with electronic biller to ensure all claims are accurate and processed in a timely manner.
- Ensures proper controls are adhered to for accuracy and timeliness of billing.
- Reviews unbilled accounts report, re-bills on hold and cash application weekly and performs follow up to meet company standards.
- Performs collections function pro-actively to ensure timely payment.
- Interacts with centralized cash application department to ensure accuracy in applied cash.
- Provides input on process improvements.
- Meets weekly with Administrator/Operations Manager to provide detailed status report on progress of billing and collections/unbilled report and overdue balances and discusses plans of action.
- Develops, implements and processes resources in collaboration with Administrator/Operations Manager where applicable in order to improve or maintain billing and collection in adherence with company standard levels.
- Interacts with a variety of personnel in the branch offices to achieve outcomes.
- Completes other assignments as requested and assigned.
- May have access to personal health information ("PHI") necessary to fulfill the above duties and responsibilities.
Access to use and ability to disclose PHI is further defined by each organization/department.
Minimum Education & Experience Requirements:
- Associates Degree in related field or equivalent work experience.
- Minimum two (2) years billing/collection experience preferably in healthcare
- Knowledge, Skills & Abilities Required:
- In depth knowledge of healthcare industry billing.
- Detail oriented with strong organization, analytical and problem solving skills.
- Proficient with software and systems, Excel
- Excellent communication and interpersonal skills.
Working Conditions & Physical Effort:
- Work is normally performed in a typical interior/office work environment.
- Ability to work flexible schedule and/or evening hours as needed.
- Sits most of the time; infrequent to occasional walking or standing.
- Ability to sit in front of CPU for long periods of time.
- Physical activity is sedentary and may require occasional lifting or carrying up to 10 lbs.
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